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HX64074706 
R  A644.T7  N48  Brief  history  of  the 

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54  I.-  1!>0H  302W.  '08.  25,000  (P) 

DEPARTMENT    OF     HEALTH 

THE    CITY    OF    NEW    YORK 

Sixth  Avenue  and  55th  Street 


Brief   History   of   the    Campaign 

Against  Tuberculosis  in 

New  York  City 


Catalogue  of  the  Tuberculosis  Exhibit 

of  the  Department  of  Health 

City  of  New  York 


1908 


A  Brief  History  of  the  Campaign  Against 
Tuberculosis  in  New  York  City 

BY 

HERMANN    M.   BIGGS,   M.  D. 
General  Medical  Officer 

The  publication  in  1882  of  the  classical  researches  of  Robert 
Koch  on  the  Etiology  of  Tuberculosis  definitely  placed  this 
disease  in  the  group  of  infectious,  communicable  and  prevent- 
able diseases.  It  then  logically  became  at  once  the  duty  of  san- 
itary authorities  to  adopt,  so  far  as  possible,  the  measures 
necessary  to  restrict  the  prevalence  of  tuberculosis,  but  the  full 
significance  of  the  discovery  was  not  at  once  appreciated,  and 
some  years  elapsed  before  any  serious  attempt  was  made  to 
apply  the  demonstrated  scientific  facts  to  the  practical  preven- 
tion of  this  disease. 

In  1887,  the  writer,  at  that  time  one  of  the  consulting 
pathologists  of  the  Department  of  Health  of  the  City  of  New 
York,  having  felt  for  several  years  the  primary  importance 
and  necessity  for  administrative  action  in  relation  to  this  dis- 
ease', urged  upon  the  Board  of  Health  of  New  York  City  the 
immediate  enactment  of  suitable  regulations  for  the  sanitary 
surveillance  of  the  tubercular  diseases.  At  that  time,  how- 
ever, neither  the  medical  profession  nor  the  laity  of  the  City 
of  New  York  sufficiently  appreciated  the  importance  of  the 
matter,  and  the  Board  of  Health,  after  seeking  advice  from 
various  sources,  only  considered  it  wise  to  adopt  certain  meas- 
ures designed  to  extend  information  amoZig  the  tenement  house 
population  as  to  the  nature  and  the  methods  for  the  preven- 
tion of  the  disease. 

In  1892  and  1893  the  matter  was  again  brought  up  by  the 
writer  for   serious   discussion,   but   it  was   not  until  early  in 


1894  that  the  first  definite  steps  were  finally  taken  by  the 
Board  of  Health  to  exercise  a  genuine  surveillance  over  tuber- 
culous persons.  From  the  outset  the  writer  has  always  insisted 
that  a  rational  campaign  for  the  prevention  of  tuberculosis 
(especially  pulmonary  tuberculosis),  must  be  primarily  based 
on  a  system  providing  for  the  notification  and  registration  of 
every  case  of  this  disease.  In  accordance  with  his  recommenda- 
tions, the  Board  of  Health,  early  in  1894,  adopted  a  series  of 
resolutions  providing  for  a  system  of  notification,  partly  com- 
pulsory and  partly  voluntary  in  character.  Public  institutions 
of  all  kinds  (hospitals,  clinics,  dispensaries,  etc.)  were  required 
to  report  all  cases  coming  under  their  supervision  within  one 
week,  while  private  physicians  were  requested  to  do  so.  In 
view  of  what  seemed  at  that  time  such  a  radical  procedure 
as  the  notification  of  tuberculosis,  it  was  deemed  wiser  to  at 
first  employ  such  a  compromise  scheme. 

The  original  plan  (adopted  in  1894  by  the  Board  of  Health) 
provided  the  following: 

First :  An  educational  campaign  through  the  use  of  specially 
prepared  circulars  of  information  designed  to  reach  different 
classes  of  the  population  (one  of  which  was  printed  in  many 
different  languages),  and  also  the  utilization  of  the  public 
press  and  lectures  for  the  dissemination  of  popular  information. 

Second:  The  compulsory  notification  of  cases  by  public  in- 
stitutions and  the  request  for  the  notification  of  private  cases 
with  all  the  data  necessary  for  registration.  Proper  blanks, 
postal  cards,  etc.,  were  provided  for  these  reports. 

Third:  The  plotting  of  all  reported  cases  on  large  maps 
specially  prepared,  showing  every  house  lot  in  the  Boroughs 
of  Manhattan  and  The  Bronx  (then  constituting  the  City  of 
New  York).  Each  case  reported  and  each  death  occurring  from 
tuberoulosis  was  plotted  by  conventional  signs  showing  the 
month  and  year  that  each  came  under  the  observation  of  the 
Departmen^fe. 

Fourth:  A  special  corps  of  medical  inspectors  was  ap- 
pointed, whose  duty  consisted  in  visiting  the  premises,  where 
cases  were  reported  as  existing,  and  if  the  patients  were  not 

4 


under  the  care  of  a  private  physician,  leaving  printed  and  verbal 
instructions  informing  the  patient  and  family,  what  precau- 
tions should  be  taken  to  prevent  the  communication  of  the 
disease  to  others. 

Fifth:  When  premises  had  been  vacated  by  the  death  or 
removal  of  the  consumptive,  the  inspectors  arranged  for  the 
removal  of  bedding,  rugs,  carpets,  clothing,  etc.,  for  disinfec- 
tion by  steam,  and  for  the  cleaning,  disinfection  or  renovation, 
as  might  be  required,  of  the  rooms  occupied  by  the  consumptive. 
Where  it  was  considered  necessary,  the  rooms  were  placarded, 
forbidding  occupation  by  other  persons  until  the  order  of  the 
Board  of  Health,  requiring  their  renovation,  had  been  com- 
plied with. 

Sixth:  Provision  was  made  for  the  free  bacteriological  ex- 
amination of  the  sputum  from  any  suspicious  case  of  tubercu- 
losis in  the  bacteriological  laboratory  of  the  Department  of 
Health.  (The  bacteriological  laboratories  were  first  opened  in 
1892,  and  were,  I  believe,  the  first  municipal  bacteriological 
laboratories  in  the  world.)  Facilities  were  provided  for  the 
convenience  of  physicians  desiring  to  send  specimens  of  sputum 
by  the  establishment  of  depots  at  convenient  points  through- 
out the  city,  where  sputum  jars  and  blanks  for  recording  infor- 
mation could  be  obtained,  and  where  specimens  of  sputum  for 
examination  could  be  left.  These  were  collected  each  day  by 
the  collectors  of  the  Department,  taken  to  the  laboratory,  ex- 
amined, and  a  report  forwarded  to  the  physician  of  the  results 
of  the  examination  the  following  day.  This  system  of  free 
examination  of  sputum  for  diagnosing  tuberculosis  was  in 
harmony  with  the  policy  which  the  Board  of  Health  adopted 
in  1892,  namely^  that  '4t  properly  comes  within  the  functions 
of  the  sanitary  authorities  to  furnish  facilities  of  all  kinds, 
which  are  useful  or  necessary  in  the  diagnosis,  specific  treat- 
ment and  prevention  of  all  the  diseases  which  are  at  the  same 
time  infectious,  communicable  and  preventable."  It  was  be- 
lieved that  the  free  examination  of  sputum  would  materially 
assist  in  the  early  diagnosis  of  tuberculosis,  especially  among  the 
lower  classes,  and  would  encourage  physicians  to  report  cases. 
An  early  condition  was  made  that  no  specimens  of  sputum  would 


be  examined,  which  did  not  have  accompanying  them  all  the 
data  necessary  for  complete  registration  of  the  case. 

The  result  of  the  first  year's  work  was,  on  the  whole,  grati- 
fying.    It  covered  only  ten  months  of  the  calendar  year    and 
during  this  time  more  than  four  thousand  cases  of  pulmonary 
tuberculosis  were  reported,  and  about  five  hundred  specimens 
of  sputum  were  sent  for  examination.    As  a  result  of  the  noti- 
fication, accurate  data  as  to  the  chief  centres  of  infection  be- 
came for  the  first  time  available,  and  thus  the  Department  of 
Health  was  enabled  to  direct  its  efforts  to  the  best  advantage 
The  very  striking  existence  of  tuberculosis  in  certain  localities 
was  demonstrated  in  a  remarkable  way  by  the  maps  on  which 
were  plotted  the  cases  and  the  deaths  from  this  disease      A 
number  of  small  sections  from  these  maps  were  first  published 
in  1892. 


N?E 


In  1897,  after  three  years  of  this  preliminary  and  educa- 
tional work,  the  time  seemed  ripe  for  an  extension  of  the  regu- 
lations. In  that  year  the  Board  of  Health  amended  the 
Sanitary  Code  so  as  to  require  notification  in  all  cases  of  tuber- 
culosis, both  private  and  public.  San.  Code.  Sec.  133.  It  shall 
be  the  duty  of  every  physician  to  report  to  the  Department 
of  Health,  in  writing,  the  full  name,  age  and  address  of  every 
person  suffering  from  any  one  of  the  infectious  diseases  included 
in  the  list  appended,  with  the  name  of  the  disease,  within  twenty- 
four  hours  of  the  time  when  the  case  is  first  seen.  A.  Conta- 
gious (very  readily  communicable) B.  Com- 
municable   typhoid  fever 

tuberculosis  (of  any  organ) epidemic  cerebro-spinal 

meningitis puerperal  septicsemia,  erysipelas 

C.  Indirectly  communicable  (through  intermediary  host) 

malarial  fever. 

This  action  at  once  aroused  bitter  opposition  in  the  medical 
profession,  and  in  1898  the  two  largest  medical  societies  in  New 
York  City  adopted  resolu4;ions  absolutely  condemning  the  action 
of  the  Board  of  Health,  and  the  Medical  Society  of  the  County 
of  New  York  appointed  a  special  legislative  committee  for  the 
purpose  of  obtaining  legislation  to  withdraw  from  the  Board 
of  Health  the  power  to  deal  in  any  way  with  the  tuberculous 
diseases.  Such  legislation  was  introduced  at  two  successive  ses- 
sions of  the  New  York  State  Legislature,  but  was  defeated  each 
year,  after  much  difficulty. 

A  special  committee  appointed  by  the  President  of  the  New 
York  Academy  of  Medicine  considered  the  new  regulations  and 
after  several  prolonged  meetings,  in  which  there  v/as  marked 
division  of  opinion,  compromised  on  a  resolution  declaring  it 
to  be  the  opinion  of  the  committee  that  the  procedure  was  at 
that  time  inexpedient  and  inadvisable. 

The  usual  objections  which  have  been  urged  to  notification 
were  put  forward  in  the  discussions  in  the  various  medical 
societies.  As  a  matter  of  fact,  so  carefully  did  the  Board  of 
Health  protect  the  rights  of  both  physicians  and  patients,  that 
a  constantly  increasing  proportion  of  the  cases  of  tuberculosis 
were  reported,  while  there  was  a  steady  decrease  in  the  opposi- 


tion  to  the  regulations.  At  the  present  time  it  is  estimated 
that  at  least  90  per  cent,  of  the  recognized  eases  of  pulmonary 
tuberculosis  are  reported  in  the  Boroughs  of  Manhattan  and 
The  Bronx. 

In  1902  the  Board  of  Health  adopted  resolutions  requiring 
the  landlords  and  janitors  of  tenement  and  apartment  houses 
to  report  to  the  Department  the  removal  of  any  tenant  suffer- 
ing from  tuberculosis,  in  order  that  proper  disinfection  might 
be  performed  by  the  Department  of  Health.  Physicians,  too, 
were  requested  to  report  the  removal  of  any  of  their  patients 
from  one  address  in  the  city  to  another,  or  the  removal  from 
the  city  itself. 

Continuous  pressure  was  constantly  exercised  on  all  sides  to 
secure  increased  accuracy  in  the  reports,  and  comparisons  were 
made  of  the  deaths  reported  from  tuberculosis  with  the  reported 
cases  of  tuberculosis,  to  determine  whether  the  eases  had  been 
reported  previous  to  death.  When  deaths  were  found  which 
had  not  been  previously  reported  during  life  the  physicians 
were  requested  to  furnish  an  explanation  for  the  failure,  and, 
in  some  instances,  were  summoned  before  the  Board  and  threat- 
ened with  prosecution,  but  only  rarely  has  it  been  necessary 
to  begin  legal  action. 

A  regular  census  of  the  tuberculous  inmates  of  all  public 
institutions  admitting  or  caring  for  tuberculous  patients  was 
first  taken  in  1897  and  has  been  taken  semi-annually  since 
that  time.  In  1897  only  about  one  thousand  beds  were  occu- 
pied by  this  class  of  cases,  and  these  were  largely  in  the  general 
wards  of  the  general  hospitals.  The  Board  then  began  to  bring 
pressure  upon  the  management  of  the  various  hospitals  in  the 
city  to  segregate  their-  .cases  in  separate  wards  or  in  separate 
buildings,  and  a  ^little  later  forbade  "the  treatment  of  cases  of 
pulmonary  tuberculosis,  in  the  general  wards  of  the  hospitals. 
Efforts  have  been  constantly  made  to  sectire  accommodations 
for  and  effect  the  removal  of  advanced  cases  from  their  homes 
to  public  institutions,  and  facilities  for  the  care  of  these  have 
been  steadily  increased.  In  contrast  to  the  one  thousand  beds 
occupied  in  1897  by  tuberculosis  cases,  in  1907,  about  twenty- 
five  hundred  were  thus  occupied,  notwithstanding  the  fact  that 

10 


the  actual  number  of  deaths  from  pulmonary  tuberculosis  in 
New  York  City  had  increased  but  little  during  this  period.  The 
actual  number  of  cases  in  the  city  is  probably  less,  certainly 
not  more,  than  in  1897 — the  death  rate  having  decreased  more 
than  enough  to  compensate  for  the  increase  of  population.  Still, 
the  people  and  the  medical  profession  have  become  so  well 
educated  now  to  demand  hospital  and  sanatorial  care,  that  the 
accommodations,  although  nearly  three  times  as  great,  are  more 
inadequate  than  were  the  one  thousand  beds  available  in  1897. 

In  1903  the  Department  of  Health  set  aside  several  pavilions 
in  one  of  its  hospitals  for  contagious  diseases  for  the  special 
care  of  cases  of  tuberculosis,  which  it  might  become  necessary 
to  remove  and  retain  if  necessary  against  their  will.  It  was 
early  recognized  that  the  point  of  view  of  the  hospital  and  of 
the  sanitary  authorities  was  radically  different.  The  superin- 
tendent of  a  hospital  will  naturally  insist  on  dismissing  at  once 
a  patient  who  is  insubordinate  or  violates  the  rules  of  the  insti- 
tution, and,  yet,  from  the  sanitary  point  of  view,  such  a  patient 
is  the  most  dangerous  one  to  be  at  large.  These  pavilions  were 
opened  particularly  for  the  care  of  such  cases,  at  first  with  a 
capacity  of  forty-eight  beds,  which  has  since  been  increased  to 
more  than  two  hundred.  Since  May,  1902,  whenever  it  has 
seemed  necessary  for  the  protection  of  the  public  health,  cases 
of  tuberculosis  have  been  removed  and  retained,  whether  they 
have  been  willing  to  enter  or  remain  in  a  hospital  or  not. 

In  1903,  provision  was  also  made  for  the  employment  of  a 
corps  of  trained  nurses,  in  addition  to  the  corps  of  special  med- 
ical inspectors,  in  order  that  a  closer  and  more  continuous 
supervision  of  the  cases  remaining  in  their  homes  might  be 
maintained.  The  nurses  visit  such  cases  reguk,rly,  make  record 
of  the  surroundings,  mode  of  living,  physical  and  financial 
condition,  temperature,  observance  of  instructions  and  of  any 
special  needs.  When  it  seems  desirable,  recommendation  for 
charitable  assistance  or  for  removal  to  a  hospital  is  made.  The 
work  of  the  inspectors  is  now  largely  limited  to  visiting  the 
premises  to  make  a  special  examination  of  a  ease,  or  of  the  con- 
dition obtaining  in  the  home,  to  recommend  forcible  removal, 
or  to  order  disinfection  or  renovation  of  premises  after  their 
vacation  either  by  death  or  removal. 

11 


It  will  be  readily  understood  from  what  has  been  said  that 
the  work  of  the  Department  of  Health  has  been  closely  affiliated 
with  the  Department  of  Public  Charities,  with  various  charit- 
able organizations,  and  with  the  Tuberculosis  Committee  of  the 
Charity  Organization  Society,  which  has  for  its  specific  purpose 
the  combat  against  tuberculosis. 

In  1904  the  first  clinic  (dispensary)  was  opened  by  the  De- 
partment of  Health  in  a  building  specially  constructed  for  the 
purpose  in  the  Borough  of  Manhattan,  and  in  1906  and  1907 
similar  clinics  were  established  in  the  Boroughs  of  Brooklyn 
and  The  Bronx  respectively.  These  clinics  have  the  usual  pur- 
pose of  such  clinics  and  have  attached  to  them  the  corps  of 
trained  nurses  referred  to  above.  They  have  been  very  largely 
patronized,  and  act  as  clearing  houses  for  the  disposition  of  all 
reported  cases  of  this  disease. 

Between  1904  and  1907  several  other  special  tuberculosis 
clinics  (dispensaries)  were  opened  in  connection  with  various 
city  hospitals  or  dispensaries,  and  in  1897,  under' the  patronage 
of  the  Tuberculosis  Committee  of  the  Charity  Organization 
Society,  an  association  of  tuberculosis  clinics  was  formed,  com- 
prising not  only  the  clinics  of  the  Department  of  Health,  but 
also  all  of  those  in  the  city  which  comply  with  certain  require- 
ments (including  the  provision  of'-  trained  nurses  for  visiting 
patients  at  their  homes,  etc.). 

The  city  has  been  divided  into  districts,  each  clinic  being  in 
charge  of  and  control  of  the  district  in  its  immediate  vicinity. 
All  the  clinics  report  their  ^cases  to  the. Department  of  Health, 
and  all  patients  attending  a  clinic  outside  of  the  district  in 
which  they  live  are  referred  back  to  the  clinic  in  their  own 
district  for  treatment  and  supervision. 

This  plan  has  worked  extremely  well,  and  has  prevented  the 
wandering  of  patients  from  clinic  to  clinic  in  the  hope  of  finding 
relief,  and  has  obviated  much  unnecessary  duplication  of  work. 

In  1896  the  Department  of  Health,  after  strenuous  efforts 
/  continued  over  a  number  of  years,  obtained  a  site  for  the  estab- 
lishment of  a  tuberculosis  sanatorium  for  incipient  and  early 
cases  at  Otisville  in  the  Shawangunk  Mountains,  about  seventy- 

12 


fi^^j\e  miles  from  New  York  City.  A  tract  of  more  than  thirteen 
Vj,r,[ndred  acres  of  land  was  obtained,  lying  at  an  elevation  from 
j^ine  to  thirteen  hundred  feet  above  sea  level. 

The  development  of  this  institution  has  gone  on  somewhat 
g].owly,  as  it  has  been  along  new  lines.  The  present  capacity 
iffe  a  little  less  than  two  hundred  patients,  only  males  being 
j,ccepted.  It  is  hoped  that  eventually  from  six  hundred  to  one 
fjhousand  patients  may  be  accommodated,  in  a  number  of  sepa- 
/:ate  units,  each  of  which  will  provide  for  from  one  hundred 
md  fifty  to  two  hundred  and  fifty  patients.  Treatment  is  en- 
tirely free,  but  admission  is  restricted  to  residents  of  New  York 
jCity,  and  is  obtained  through  the  clinics  of  the  Department  of 
^Health. 

I  In  its  educational  campaign  the  Department  of  Health  has 
made  use  of  all  the  various  agencies  whose  aid  it  could  enlist. 
In  addition  to  the  distribution  of  the  circulars  of  information 
jalready  referred  to,  a  vigorous  crusade  has  long -been  waged 
'against  the  filthy  habit  of  spitting  in  public  places.  All  street 
cars,  elevated  and  underground  railways,  ferryboats,  public 
buildings,  piers,  etc.,  have  been  placarded  with  large  signs  pro- 
'hibiting  spitting.  The  sanitary  police  of  the  Department  have 
constantly  made  arrests  of  persons  violating  the  law,  and  the 
newspapers  have  aided  by  giving  the  matter  proper  publicity. 
As  a  result  of  these  measures,  spitting  is  much  less  prevalent 
than  it  was  a  few  years  ago,  although  still  much  remains  to  be 
desired. 

Another  device  employed  to  educate  the  public  concerning 
tuberculosis  is  by  means  of  exhibitions.  The  Department  of 
Health  first  prepared  a  complete  tuberculosis  exhibit  in  1903. 
This  consisted  of  photographs,  charts,  circulars,  and  the  various 
blanks,  cards,  etc.,  used  by  the  Department.  The  exhibit  was 
sent  to  various  cities  in  New  York  and  other  states. 

A  great  deal  of  effective  educational  work  has  been  done  by 
means  of  public  lectures.  In  1906  lantern  slides  were  pre- 
pared to  illustrate  the  work  of  the  Department.  These  con- 
sisted of  pictures  showing  sanatoria  and  hospitals  for  the 
treatment  of  tuberculosis,  tables  showing  the  ravages  wrought 

13 


by  consumption,  photographs  o£  sanitary  and  unsanitary  dw. 
m^,  pictures  and  sentences  telling  how  a  consumptive  shor 
look  after  himself,  etc.    These  slides  have  been  exhibited  dur 
each  summer  by  means  of  stereopticon  lanterns  in    he  vari 
parks  of  the  city,  and  have  always  attracted  large  audTenc 

The  Department  of  Education  has  also  rendered  valual 
assistance  m  educating  the  public.  A  number  of  lecturef 
he  Free  Lecture  Courses  have  been  devoted  each  year  o  fl 
consideration  of  tuberculosis,  and  in  the  classroom  Tnstr^t 
-n  hygiene  special  emphasis  has  been  placed  on  eousumpt  o 
and  the  spitting  habit.    Arrangements  have  also  beeTeomplete 

Health  "  ""^    '"PP''^''    ^y    *"«    Department    < 

The  tuberculosis  work  now  being  carried  on  by  the  Healt 

(2)     Free  bacteriological  ezamination  of  sputum  to  aid  nnt; 
flcation  and  to  facilitate  the  early  and  definite  ^ol  (1894) 

tui?  eSrnT"  "'''""'  f  ™"°™  ^''^'  "i^^-^l"^.  lee 

tures,  exnibits,  newspaper  articles. 

(4)     Visitation  of  consumptives  in  their  homes  (1894)     Ton 
muous  supervision  of  cases  in  tenement  houses  b/th  '  co^s 
of  trained  nurses  (1903).  ^ 

issfaice!f"or"oflrI  '''^.^^P-'--'  "*  Health,  and 
sumptives  (1894)  ™""°  "'  ^""^  ^"^''"^  ^^  ™- 

.Z  ch^S^rorS^tr  sl5„3r  -''-^^  -  -  - 
(7)     Three  classes  of  institutions  are  provided: 

a  Free  clinics  (dispensaries)  for  ambulant  cases  unable 
to  go  to  sanatoria  (1904). 


14 


h  Free    sanatorium    for    incipient    and    early    eases 

^'•'  (1906). 

ni 

c  Free  hospitals  for  advanced  cases. 

,    (8)     Forcing  certain  classes  of  patients  into  a  hospital  and 
.^etaining  them  there   (1901). 

c     (9)     Enforcing   regulations    concerning    spitting    in    public 
tplaees. 

(10)  Research  studies  concerning  the  mode  of  infection,  the 
role  of  bovine  tuberculosis,  characteristics  of  the  tubercle  bacillus, 
etc.  ■? 

The  following  table  exhibits  the  principal  statistics  concern- 
ing the  tuberculosis  campaign  in  New  York  City. 


15 


TABLE   GIVING   DEATH   RATE,    NUMBER   OF   DEATHS,    AND   OTHER   DATA   CONCERNING 

TUBERCULOSIS   IN   THE   CITY   OF   NEW  YORK   FROM    1881    TO    I907. 

I. — MANHATTAN   AND   THE   BRONX. 


General 
Population 


Total 
Deaths 

All 
Causes 


1,244,511 
1,280,857 
1,318,264 

1,356,764 
1,396,388 
1,437,170 
1,479,143 
1,522,341 
1,566,801 
1,612,559 

1,659,654 
1,708,124 
1,758,010 
1,809,353 
1,873,201 
1,906,139 

1,940,553 
1,976,527 
2,014,330 
2,055,714 
2,118,209 
2,182,836 
2,241,680 
2,318,831 
2,390,382 
2,464,432 
2,541,084 


38,624 
37,924 
34,011 
35,034 
35,682 

37,351 
38,933 
40,175 
39,679 
40,103 

43,659 
44,329 
44,486 

41,175 
44,420 
41,622 
38,877 
40,438 
39,911 
43,227 

43,307 
41,704 

41,749 
48,693 

45,199 
46,108 
47,698 


Q 


31.04 
29.61 
25.80 
25.82 
25-55 
25-99 
26.32 
26.39 
25-32 
24.87 
26.31 
25-95 
25-30 
22.76 
23-18 
21.84 
20.03 
20.46 
19.81 
21.03 
20.44 
19. II 
18.56 
21.00 
18.91 
18.71 
18.76 


H  <u- 


6,123 
6,052 

5,943 
6,039 

5,945 
6,349 
6,007 
6,073 
6,041 
6,409 
6,109 
6,061 
6,163 
5,720 
6,283 
5,926 
5,791 
5,901 
6,209 
6,179 
6,049 

5,744 
6,086 

6,275 
6,348 
6,696 
6,809 


4.92 
4-72 
4-51 
4-45 
4.26 
4.42 
4.06 

3-99 
3-86 

3-97 
3-56 
3-55 
3-51 
3-i6 

3-35 
3. II 
2.98 

2-99 
3-08 
3-00 
2.85 
2-63 
2.70 
2.71 
2.66 
2.72 
2.68 


5,312 

5,247 

5,290 

5,235 

5,196 

5,477 

5,260 

5,260 

5,179 

5,492 

5,160 

5,033 

5,124- 

4,658 

5,205 

4,994 

4,843 

4,957 

5,238 

5,278 

5,233 

4,893 

5,250 

5,495 

5,678 

5,900 

6,030 


nJ.Q 

OH 


81  r 
805 

653 
804 

749 
872 

747 
813 
862 

917 

949 

1,028 

1,039 
1,062 
1,078 
932 
948 
944 
971 
901 
816 
851 


O  GXS 


V  u 


5H 


■^Ph 


836114 
780 
670 
796 

779 


.85 
,96 

47 
,28 
66 
99 
43 
12 
.22 
,98 
.99 
.67 
.85 
,89 
47 
24 
89 
59 
56 
29 

97 
77 
60 

89 
04 

522.39 

49I2.37 


4.27 
4.10 
4.01 
3-86 
3-72 
3-81 
3-56' 
3-46 
3-30 
3-41 
3-II 
2.95 
2.91 

2-57 
2.78 
2.62 
2.50 
2.51 
2.60 
2.56 

2-47 
2.24 

2.33 

2.37 
2.38 


4,166 

5,824 

8,334 
9,735 
10,798 
10,484 
9,639 
12,135 
13,383 
15,787 
20,451 
24,142 
22,092 
24,363 


239 
472 
436 
005 
738 
698 
638 
106 
201 
746 


D  E  „- 


511 
.147 
,856 
.703 
,920 

.115 
,512 

397t 
631 
764 
606 

431 
003 

595 


II. — GREATER  NEW  YORK. 


,272,418 
,356,722 
,446,042 

,554,079 
,665,825 

,781,423 
,901,023 
,024,780 
,152,860 
,285,435 


66,224 

65,344 
70,872 
70,717 

68,112 
67,923 
77,985 
73,714 
76,203 
79,205 


20.26 
19.47 
20.57 
19.91 
18.58 
17.96 
19.99 
18.31 
18.35 
18.76 


9,2651  2.69 
9,575'  2.70 
9,630:  2.79 
9,389!  2.64 
8,883  2.42 
9,287  2.46 
9,744  2.50 
9,658]  2.40 
10,19412.45 
10,262!  2.26 


7,724 
8,016 

8,154 
8,135 
7,571 
8,001 

8,495 
8,535 
8,955 


1,541 
1,559 
1,476 

1,254 
1,312 
1,286 
1,249 
1,123 
1,239 
1,263 


97 

2.25 

65 

2.26 

59 

2.37 

28 

2.29 

44 

2.07 

70 

2.12 

49 

2.18 

10 

2.12 

38 

2.16 

96 

2.10 

14,433 
17,588 

16,614 
20,266 
28,444 

31,963 
30,826 
32,730 


2,456 

4,191 

4,268 

5,052 

9,721 

11,132 

10,741 

13,005 


3,945 
4,500 
5,289 

6,744 
7,820 

11,859 
16,971 

18,639 
21,779 
27,277 


.16 


I  i 


Catalogue  of   the   Tuberculosis  Exhibit 

of   the    Department   of   Health 

The  City  of  New  York 


SECTION    I 
GENERAL  INFORMATION 

No.  1.  Large  wall  statistical  table  showing  death  rate,  num- 
ber of  deaths,  and  other  data  concerning  Tuberculosis  in  the 
City  of  New  York  from  1881  to  1907.  a.  Manhattan  and  The 
Bronx — &.  Greater  New  York. 

No.  2.  Large  wall  chart  shoAving  comparisons  of  death  rates 
from  all  causes  (black)  and  from  Pulmonary  Tuberculosis  (red) 
in  the  Old  City  of  New  York  (Boroughs  of  Manhattan  and  The 
Bronx)  from  1866  to  date. 

No.  3.  Chart  showing  comparison  of  death  rates  from  all 
causes  and  from  Pulmonary  Tuberculosis  in  the  Old  City  of 
New  York  (Boroughs  of  Manhattan  and  The  Bronx)  from  1866 
to  1906. 

No.  4.  Statistical  Table :  Deaths,  under  fifteen  years  of  age, 
from  Pulmonary  Tuberculosis  and  Tuberculous  Meningitis,  in 
the  Old  City  of  New  York  (Boroughs  of  Manhattan  and  The 
Bronx).  Average  annual  figures  for  five-year  periods  from 
1887  to  1906. 

No.  5.  Statistical  Table  showing  Cases,  Deaths,  Death  Kate, 
Laspections,  etc.,  from  Pulmonary  Tuberculosis  in  the  Old  City 
of  New  York  (Boroughs  of  Manhattan  and  The  Bronx).  Aver- 
age annual  figures  for  three-year  periods  from  1886  to  1906. 

No.  6.  Statistical  Table  showing  Deaths,  Death  Eate,  etc., 
from  Pulmonary  Tuberculosis  in  the  Old  City  of  New  York 
(Boroughs   of  Manhattan  and  The  Bronx).     Average  annual 

17 


figures  for  five-year  periods  from   1881  to  1905.     (Condensa- 
tion of  Table  No.  1.) 

No.  7.  Book :  Map  of  the  Borough  of  Manhattan,  New  York 
City,  showing  every  house  lot  and  location  of  every  case  of 
Pulmonary  Tuberculosis  reported  from  1894  to  1898. 

No.  8.  Book :  Map  of  the  Borough  of  Manhattan,  New  York 
City,  showing  every  house  lot  and  location  of  every  case  of 
Pulmonary  Tuberculosis  reported  from  1899  to  1903. 

No,  9.  Book :  Map  of  the  Borough  of  Manhattan,  New  York 
City,  showing  every  house  lot  and  location  of  every  ease  of 
Pulmonary  Tuberculosis  reported  from  1904  to  1908. 

No.  10.  Map  showing  the  distribution  of  cases  of  Pulmonary 
Tuberculosis  in  the  Borough  of  Brooklyn  for  the  year  1907. 

No.  11.  Map  showing  the  distribution  of  cases  of  Pulmonary 
Tuberculosis  in  the  Borough  of  Queens  during  the  year  1906. 

No.  12.  Enlarged  Map  showing  location  of  cases  of  Pul- 
monary Tuberculosis  reported  in  the  Borough  of  Manhattan 
in  the  area  bounded  by  Catherine,  Cherry,  Monroe  and  Market 
Streets,  for  the  five-year  periods — 1894  to  1898  and  1899  to 
1903. 

No.  13.  Enlarged  Map  showing  location  of  cases  of  Pul- 
monary Tuberculosis  reported  in  the  Borough  of  Manhattan 
in  the  area  bounded  by  Catherine,  Cherry,  Monroe  and  Market 
Streets,  for  the  five-year  period — 1904  to  1908. 

No.  14.  Enlarged  Map  showing  the  location  of  cases  of  Pul- 
monary Tuberculosis  reported  in  the  Borough  of  Manhattan 
in  the  area  bounded  by  Bayard,  Mulberry,  Park  Row  and 
Bowery  (Chinatown),  for  the  five-year  periods— 1894  to  1898 
and  1899  to  1903. 

No.  15.  Enlarged  Map  showing  the  location  of  cases  of  Pul- 
monary Tuberculosis  reported  in  the  Borough  of  Manhattan 
in  the  area  bounded  by  Bayard  Street,  Mulberry  Street,  Park 
Row  and  the  Bowery  (Chinato^vn),  for  the  five-year  period — 
1904  to  1908. 


18 


No.  16.  Enlarged  Map  showing  the  location  of  cases  of  Pul- 
monary Tuberculosis  reported  in  the  Borough  of  Manhattan 
in  the  area  bounded  by  Cherry,  Oak,  Pearl  and  New  Chambers 
Streets,  for  the  five-year  periods— 1894  to  1898,  and  1899  to 
1903. 

No.  17.  Statistical  Table  showing  deaths  from  Pulmonary 
Tuberculosis  and  Tuberculous  Meningitis,  under  fifteen  years 
of  age,  in  the  Old  City  of  New  York  (Boroughs  of  Manhattan 
and  The  Bronx)  from  1883  to  date. 

No.  18.  Table  showing  Death  Rates  from  all  causes  and 
Death  Rates  from  Tuberculous  Diseases,  per  1,000  population 
of  New  York,  London,  Paris,  Berlin  and  Vienna,  from  1884 
to  date. 

No.  19.  Colored  Chart  showing  General  Death  Rate  per  1,000 
population,  Old  City  of  New  York  (Boroughs  of  Manhattan 
and  The  Bronx),  from  1866  to  1908,  and  of  Greater  City  from 
1898  to  1908. 

No.  20.  Colored  Chart  showing  Death  Rate  per  1,000  popu- 
lation, Old  City  of  New  York  (Boroughs  of  Manhattan  and 
The  Bronx),  from  all  Tuberculous  Diseases,  1881  to  1908,  and 
the  Greater  City  from  1898  to  1908. 

No.  21.  Colored  Chart  showing  Death  Rate  per  10,000  of 
entire  population  from  Pulmonary  Tuberculosis  and  Tuberculous 
Meningitis  combined,  of  children  under  fifteen  years  of  age,  for 
the  Old  City  of  New  York  (Boroughs  of  Manhattan  and  The 
Bronx),  1883  to  1908. 

No.  22.  Colored  Chart  showing  Death  Rate  per  1,000  of 
population,  Old  City  of  New  York  (Boroughs  of  Manhattan 
and  The  Bronx) ,  from  Pneumonia  and  Pulmonary  Tuberculosis, 
1870  to  1908. 

No.  23.  Photograph :  Headquarters  Building  of  the  Depart- 
ment of  Health,  City  of  New  York,  55th  Street  and  Sixth  Ave- 
nue, Borough  of  Manhattan, 

No.  24.  Plan  of  organization  of  the  Department  of  Health, 
City  of  New  York. 

19 


No.  25.  Circular  of  Information  Regarding  Measures 
Adopted  by  the  Board  of  Health  for  the  Sanitary  Supervision 
of  Tuberculosis  in  the  City  of  New  York  (66  L). 

No.  26.  Circular  of  Information  Regarding  Measures 
Adopted  by  the  Board  of  Health  for  the  Sanitary  Supervision 
of  Tuberculosis  in  the  City  of  New  York  (concluded)  {66  L). 

No.  27.  Handbook  of  Help  for  persons  suffering  with  Pul- 
monary Tuberculosis,  issued  by  the  Department  of  Health  for 
the  use  of  physicians,  school  teachers,  ministers,  employees  of 
the  Department  of  Health  and  other  City  Departments,  charity 
workers,  etc.  (2  L), 

No.  28.  Handbook  of  Help  for  persons  suffering  with  Pul- 
monary Tuberculosis,  issued  by  the  Department  of  Health  for 
the  use  of  physicians,  school  teachers,  ministers,  employees  of 
the  Department  of  Health  and  other  City  Departments,  charity 
workers,  etc.  (continued)   (2  L). 

No.  29.  Handbook  of  Help  for  persons  suffering  with  Pul- 
monary Tuberculosis,  issued  by  the  Department  of  Health  for 
the  use  of  physicians,  school  teachers,  ministers,  employees  of 
the  Department  of  Health  and  other  City  Departments,  charity 
workers,  etc.  (concluded)  (2  L). 

No.  30.  Circular  of  Information  on  Special  Methods  of 
Treatment  for  Pulmonary  Tuberculosis:  "Consumption 
Cures,"  issued  by  the  Department  of  Health  for  the  general 
information  of  the  public  (229  L), 

No.  31.  ''Don't  Spit"  Folders:  Information  regarding  the 
Prevention  of  Tuberculosis  for  the  General  Public,  issued  by 
the  Department  of  Health  for  distribution  through  the  large 
charitable  organizations  and  to  factories,  department  stores,  etc. 
(a.  English  231  L;  h.  German  240  L). 

No.  32.  "Don't  Spit"  Folders:  Information  regarding  the 
Prevention  of  Tuberculosis  for  the  General  Public,  issued  by 
the  Department  of  Health  for  distribution  through  the  large 
charitable  organizations  and  to  factories,  department  stores,  etc. 
{a.  Italian  238  L;  h.  Yiddish  241  L). 

20 


No.  33.  ''Don't  Spit"  Folders:  Information  regarding  the 
Prevention  of  Tuberculosis  for  the  General  Public,  issued  by 
the  Department  of  Health  for  distribution  through  the  large 
charitable  organizations  and  to  factories,  department  stores,  etc. 
(a.  Bohemian  239  L;  &.  Swedish  236  L). 

No.  34.  Circular  on  the  Administrative  Control  of  Tuber- 
culosis, issued  by  the  Department  of  Health  for  the  information 
of  physicians  and  others  (226  L). 

No.  35.  Proposed  Tuberculosis  Catechism  and  Primer  to  be 
distributed  to  and  used  by  school  children  in  the  public  schools 
of  New  York  City  (246  L). 

No.  36.  Notice  of  Stereopticon  Exhibits  given  by  the  Depart- 
ment of  Health  in  the  public  parks  of  the  Boroughs  of  Man- 
hattan and  Brooklyn  (English  12  L,  Italian  46  L,  and  Yiddish 
41  L). 

No.  37.  Diagram  showing  plan  of  co-operation  in  Tuber- 
culosis work  in  New  York  City  through  the  Department  of 
Health. 

No.  38.  Spitting  Placards:  Forbidding  spitting  upon  the 
floor  of  street  cars  (three  forms,  69  C). 

No.  39.  Spitting  Placards:  (a)  Forbidding  spitting  on  the 
floor  of  street  cars;  (&)  forbidding  spitting  on  floor  of  build- 
ings (19  L) ;  (c)  anti-spitting  pads  for  distribution  to  the  gen- 
eral public  (206  C). 

No.  40.  Spitting  Placard :  Forbidding  spitting  on  the  floors 
of  ferry  houses  (186  C). 

No.  41.  Spitting  Placards :  Forbidding  spitting  on  floors  of 
railroad  stations  (100  F). 

No.  42.  Spitting  Placard:  Forbidding  spitting  on  floor  of 
ferry  boats  (70  C).      (Out  of  print.) 

No.  43.  Spitting  Placard:  Forbidding  spitting  on  the  side- 
walks.    (Out  of  print.) 


21 


SECTION   II 

REGISTRATION   AND   SANITARY  SUPERVISION 
OF  PULMONARY  TUBERCULOSIS 

]S!o.  44.  Photograph:  Office  of  Inspector-in-Charge,  Di- 
vision of  Commimicable  Diseases,  Manhattan  Department  of 
Health. 

No,  45.  Photograph :  Tuberculosis  files,  Division  of  Com- 
municable Diseases,  Borough  of  Manhattan. 

No.  46.  Photograph :  Office  of  the  Division  of  Commun- 
icable Diseases,  Borough  of  The  Bronx. 

No.  47.  Notification  and  Registration:  (a)  Notification 
postal  cards  furnished  physicians  for  reporting  cases  of  Pul- 
monary Tuberculosis  (58  L),  and  (&)  letter  of  acknowledgment 
sent  on  receipt  of  same  (16  L)  ;  (c)  card  for  recording  telephone 
report  from  institutions  (204  L),  and  (d)  postal  card  acknowl- 
edging and  confirming  said  report  (223  L)  ;  (e)  book  furnished 
institutions  in  which  the  record  of  admissions,  discharges  and 
deaths  of  persons  suffering  with  Pulmonary  Tuberculosis,  are 
kept  (23  LL).  Telephone  reports  are  made  from  this  book. 
(/)  Postal  card  furnished  physicians  to  report  change  of  ad- 
dress, discontinuance  of  treatment,  or  recovery  on  the  part  of 
their  patients  suffering  with  Pulmonary  Tuberculosis  (245  L). 

No,  48.  Notification  AND  Registration  :  (a)  List  of  deaths, 
forwarded  daily  from  Bureau  of  Records,  giving  information 
regarding  all  deaths  from  Pulmonary  Tuberculosis  during  the 
preceding  twenty-four  hours  (78  L).  (&)  Postal  card  used  by 
patient  or  his  family  to  notify  the  Department  of  Health  of 
the  change  of  address  (171  L).  (c)  Card;  report  from  Diag- 
nosis Laboratory  of  case  of  Pulmonary  Tuberculosis  (11  L). 
(d)  Card;  report  of  case  of  Tuberculosis  from  Department  of 
Health  Tuberculosis  Clinic  or  from  other  Boroughs  (194  L), 

23 


No.  49.  Notification  and  Registration.  (a)  Card;  ac- 
knowledging receipt  of  communication  or  complaint  (191  L). 
(&)  Letter  to  the  owner  of  premises  occupied  by  Tuberculosis 
patient,  directing  him  to  notify  the  Department  of  Health  of 
the  removal  of  patient  (17  L).  (c)  Letter  sent  annually  to  i 
every  physician  in  New  York  City  having  reported  a  case  of 
Tuberculosis  during  the  preceding  year,  requesting  information 
as  to  the  present  condition  and  whereabouts  of  his  patients  (4  L). 
(d)  Letter  to  physicians  reporting  death  from  Tuberculosis, 
who  had  failed  to  report  the  case  during  life  (25  L).  (e) 
"Black  List"  card  for  recording  name  and  address  of  physi- 
cians failing  to  properly  report  cases  of  Tuberculosis  to  the  De- 
partment of  Health  (181  L).  (/)  Card  recording  the  result 
of  investigation  by  inspector  of  ease  of  Tuberculosis  reported 
as  dying  from  some  other  cause  (144  L).  (g)  Census  form 
used  by  all  Tuberculosis  Institutions  in  New  York  City  for 
reporting  to  the  Department  of  Health  the  names  and  addresses 
of  all  eases  of  Tuberculosis  in  the  institution  on  certain  given 
dates  during  the  year  (18  L). 

No.  50.  Notification  and  Registration,  (a)  Card;  small 
alphabetical  index  (20  L).  All  other  files  center  around  this 
index.  (&)  Registration  card,  blue;  for  recording  all  final  data 
concerning  every  case  of  Pulmonary  Tuberculosis  reported,  and 
all  official  acts  and  orders  of  the  Department  of  Health  in  con- 
nection therewith  (43  L).  (c)  History  card,  pink;  for  record- 
ing historj^,  circumstances,  social  conditions,  etc.,  of  all  cases 
visited  by  inspectors  or  nurses  of  the  Department  of  Health 
(44  L).  (d)  Nurses'  card,  white;  for  reporting  progress  of 
cases  of  Tuberculosis  under  observation  by  nurses  of  the  De- 
partment of  Health  (49  L). 

No.  51.  Notification  and  Registration.  (a)  Notice  to 
physicians  regarding  the  necessity  for  reporting  cases  of  Tuber- 
culosis (9  L).  (&)  Inspectors'  report  of  investigation  of  cases 
of  Tuberculosis  not  reported  by  attending  physicians  (203  L). 

No.  52.  Inspection  and  Investigation,  (a)  Note  books 
used  by  inspectors  of  the  Department  of  Health  for  recording 
all  cases  assigned  to  them  for  investigation  (219  L).     (&)  Note 

24 


book  used  by  nurses  of  the  Department  of  Health  (221  L). 
(c)  Cover  furnished  with  note  book,  (d)  Bound  and  inter- 
leaved copy  of  the  Handbook  of  Rules  and  Regulations  of  the 
Division  of  Communicable  Diseases  as  furnished  to  all  inspec- 
tors and  nurses  (202  L). 

No.  53.    Inspection  and  Investigation,     (a)  Report  of  in- 
spector showing  the  result  of  investigation  of  a  case  of  Tuber- 
culosis (3  L).       (&)  Postal  card  used  by  nurse  to  recommend 
i  charitable  aid,  admission  to  hospital,  sanitary  inspection,  forcible 
I  removal,  etc.  (101  L).     (c)  Card  for  referring  cases  to  execu- 
itive  office  for  admission  to  hospital,  charitable  aid,  etc.  (42  L). 
1(d)   Card  for  recording  investigation  by  nurse  of  home  condition 
|of  cases  of  Tuberculosis  previous  to  discharge  from  hospital 
(190  L).     (e)   Card  used  by  nurse  for  referring  Tuberculosis 
patients  to  one  of  the  Association  of  Tuberculosis  Clinics,  Bor- 
ough of  Manhattan  (48  L).     (/)  Double  postal  card  used  for 
'  referring  patients  to  charitable  organizations  or  for  admission 
to  a  Tuberculosis  Hospital  of  the  Department  of  Charities  (81  L) . 

No.  54.  Inspection  and  Investigation.  Envelopes  used  by 
inspectors  and  nurses  for  forwarding  communications  to  the 
Division  of  Communicable  Diseases  (three  forms:  91  L,  100  L, 
114  L). 

No.  55.  Inspection  and  Investigation.  Photograph  of 
nurse  in  home  of  Tuberculosis  patient. 

No.  56.  Inspection  and  Investigation.  Photograph  of 
nurse  giving  patient  gauze  handkerchief. 

No.  57.  Inspection  and  Investigation.  Photograph :  Nurse 
in  home  of  Tuberculosis  patient  giving  and  explaining  use  of 
tin  cuspidor. 

No.  58.  Inspection  and  Investigation.  Photograph :  Nurse 
in  home  of  Tuberculosis  patient  taking  patient's  ''At  Home" 
history. 

No.  59.  Inspection  AND  Investigation.  Photograph:  Nurse 
in  home  of  Tuberculosis  patient  explaining  circular  of  instruc- 
tion to  patient. 

25 


No.  60.  Inspection  and  Investigation.  Photograph :  Nurse  i 
in  home  of  Tuberculosis  patient  preparing  to  take  patient's 
temperature. 

No.  61.  Inspection  and  Investigation.  Photograph:  Nurse 
in  home  of  Tuberculosis  patient  taking  patient's  temperature.    , 

No.  62.     Inspection  and  Investigation.  Photograph:   Nurse 

in  home  of  Tuberculosis  patient  taking  patient's   pulse   rate 

and  temperature- 
No.  63.     Inspection  and  Investigation.   Photograph:  Nurse ii' 

in  home  of  Tuberculosis  patient  giving  patient  sputum  jar  fori 

collection  of  specimen  of  sputum. 

No.  64.     Inspection  and  Investigation.   Photograph:  Nurse; 
in  home  of  Tuberculosis  patient,  ordering  fumigation  and  dis- 
infection in  premises  vacated  by  a  consumptive. 

No,  65.  Fumigation  and  Disinfection.  Photograph  of  Dis- 
infecting Station  of  the  Department  of  Health,  Borough  of  Man- 
hattan. 

No.  66.  Fumigation  and  Disinfection.  Photograph  of 
wagons  used  for  removal  of  infected  bedding. 

No.  67,  Fumigation  and  Disinfection.  Photograph:  Dis- 
infectors  removing  infected  bedding. 

No.  68.  Fumigation  and  Disinfection.  Photograph  of  Dis- 
infecting Wagon  at  the  door  of  dwelling. 

No.  69.  Fumigation  and  Disinfection.  Photograph:  Dis- 
infecting Machine  at  Disinfecting  Building,  Department  of 
Health,  Borough  of  Manhattan. 

No.  70.  Fumigation  and  Disinfection.  Photograph:  Dis- 
infecting Boom,  Disinfection  Station,  Department  of  Health, 
Borough  of  Manhattan. 

No.  71.  Fumigation  and  Disinfection.  Photograph:  Dis- 
infecting Room,  Disinfecting  Station,  Department  of  Health, 
Borough  of  Manhattan. 

26 


No.  72.  Fumigation  and  Disinfection.  Photograph:  Dis- 
infecting apparatus  used  by  disinfectors  in  private  dwellings. 

No.  73.  Fumigation  and  Disinfection.  Photograph:  Dis- 
nfeetor  at  work  in  private  dwelling. 

No.  74.  Disinfection  and  Fumigation,  (a)  Card  used  by 
nspeetor  for  ordering  fumigation  of  premises  and  disinfection 
)f  bedding  and  goods  (232  L).  (&)  Slip  forwarded  with  fumi- 
gation card  to  the  Division  of  Contagious  Diseases  (14  JJ). 

No.  75.     Disinfection  and  Fumigation,     (a)  Book  used  to 
•ecord  all  facts  in  connection  with  the  fumigation  of  premises 
or  Tuberculosis  (5  LL).     (6)  Fumigation  certificate  forwarded 
by  physician  who  wishes  to  do  his  own  fumigation  (117  J). 

No.  76.  Renovation,  (a)  Complaint  blank  used  by  inspec- 
;or  in  recommending  renovation  of  infected  premises  vacated 
oy  patient  suffering  from  Pulmonary  Tuberculosis  (47  L).  (&) 
Poster  put  up  by  inspector  on  all  vacated  premises  where  reno- 
vation has  been  ordered  (113  L). 

No.  77,  Renovation,  (a)  Order  issued  by  Sanitary  Di- 
vision of  Department  of  Health,  enforcing  renovation  of  prem- 
ises for  Tuberculosis  (213  C).  (&)  Request  for  modification 
or  relief  from  above  renovation  order  for  Tuberculosis  (2  E). 
(c)  Journal  for  recording  all  facts  in  connection  with  inspec- 
tor's complaint  regarding  renovation  (19  LL). 

No.  78.  Removal  to  Hospital.  Photograph:  Ambulance 
station,  East  16th  Street,  Borough  of  Manhattan. 

No.  79.  Removal  to  Hospital.  Photograph:  Ambulance 
at  East  16th  Street. 

No.  80.  Removal  to  Hospital.  Photograph:  Ambulance 
at  East  16th  Street. 

No.  81.  Removal  to  Hospital.  Photograph:  Coupe  of 
the  Department  of  Health  taking  a  Tuberculosis  patient  from 
private  house  for  removal  to  hospital. 

No.  82.  Removal  to  Hospital.  Photograph:  Coupe  of 
tke  Department  of  Health  taking  a  Tuberculosis  patient  from 
a  private  house  for  removal  to  hospital. 

27 


No.  83.  Eemoval  to  Hospital.  Photograph:  Health  I 
partment  Hospital  Boat  ''Franklin  Edson." 

No.  84.    Removal  to  Hospital.    Report  of  inspector  recoi 
mending   forcible   removal   of   a   dangerous,    infective   case 
Tuberculosis  by  the  Department  of  Health. 

No.  85.  Circulars  distributed  by  inspectors  and  nurse 
"Information  for  Consumptives  and  Those  Living  With  Them. 
English-German  (23  L). 

^^  No.  86.  Circulars  distributed  by  inspectors  and  nurse 
''Information  for  Consumptives  and  Those  Living  With  Them 
English- Yiddish  (36  L). 

I 
^^  No.  87.  Circulars  distributed  by  inspectors  and  nursel 
"Information  for  Consumptives  and  Those  Living  With  Them 
English-Italian  (35  L). 

^^  No.  88.     Circulars    distributed    by    inspectors    and    nursej 
"Information  for  Consumptives  and  Those  Living  With  Them 
English-Bohemian  (37  L). 

^^  No.  89.     Circulars    distributed    by    inspectors    and    nurses 
"Information  for  Consumptives  and  Those  Living  With  Them 
English-Slovak  (134  L). 

^^  No.  90.     Circulars    distributed    by    inspectors    and    nurses 
"Information  for  Consumptives  and  Those  Living  With  Them 
English-Polish  (133  L). 

^^  No.  91.  Circulars  distributed  by  inspectors  and  nurses 
"Information  for  Consumptives  and  Those  Living  With  Them  ' 
English-Ruthenian  (135L). 

^^  No.  92.     Circulars    distributed    by    inspectors    and    nurses 

Information  for  Consumptives  and  Those  Living  With  Them  ' 

English-Chinese  (162  L). 

^^  No.  93.  Circulars  distributed  by  inspectors  and  nurses 
^'Information  Regarding  the  Dangers  of  Sweeping  and  Dust 
Jng."  a.  English-German,  176  L;  6.  English- Yiddish,  2O0  L 
c.  English-Italian,  177  L. 

28 


No.  94.  Reports  and  Records  of  Work  Done;  Daily  Bor- 
ough Journal  for  recording  all  important  facts  in  connection 
qth  the  sanitary  supervision  of  Tuberculosis  (21  LL). 

No.  95.     Reports  and  Records,     (a)  Weekly  record  of  work 

erformed  by  individual  inspectors  of  the  Division  of   Com- 

lunicable  Diseases  (4  LL).     (&)  Weekly  report  of  work  per- 

Srmed  by  inspectors  of  the  Division  of  Communicable  Diseases 

^51  L). 

'  No.  96.    Reports  and  Records,     (a)  Weekly  record  of  work 

erformed  by  individual  Tuberculosis  nurses  of  the  Division  of 
Jommunicable  Diseases  (4  LL).  (&)  Card;  weekly  report  of 
Tuberculosis  nurses  of  the  Division  of  Communicable  Diseases 
(52  L). 

No.  97.  Reports  and  Records.  Tabulation  sheet  used  for 
compiling  statistics  regarding  Pulmonary  Tuberculosis  in  New 
York  City  (252  L). 

Note  :  This  same  system  is  in  use  in  connection  with  typhoid 
fever,  and  cerebro-spinal  meningitis,  as  will  be  noted.  The 
eases  are  sub-divided  as  follows:  Sex,  two  divisions;  age,  five 
divisions ;  race,  seven  divisions ;  making  in  all  seventy  divisions, 
one  sheet  being  used  for  each  division,  and  all  deaths  being 
recorded  by  red  tally  marks,  and  living  cases  by  black  tally 
marks. 

No.  98.  Reports  and  Records,  (a)  Weekly  report  to  Bu- 
reau of  Records  of  new  eases  of  Communicable  Diseases  accord- 
ing to  wards  of  the  city  (183  L).  (h)  Daily  report  of  cases  of 
Communicable  Diseases  for  publication  on  school  list  (82  L). 
(c)  Daily  report  to  Sanitary  Superintendent  of  the  number  of 
Communicable  Diseases  reported  during  the  preceding  twenty- 
four  hours  (185  L). 

No.  99.  Reports  and  Records.  Weekly  record  of  the  work 
of  the  Division  of  Communicable  Diseases. 

No.  100.    Reports  and  Records.    Weekly  report  of  the  Di- 
I  vision  of  Communicable  Diseases  (13  L). 
I      No.  101.     Reports  and  Records.    Weekly  report  of  the  Di- 

i  vision  of  Communicable  Diseases — concluded  (13  L). 

i 

29 


SECTION    III 

TUBERCULOSIS  CLINICS  AND   DISPENSARIES 

V 

^  No.  102,     Manhattan    Tuberculosis    Clinic.     Photograph: 

,']xterior  of  Building. 

No.  103.  Manhattan  Tuberculosis  Clinic.  Photograph: 
i^jxterior  of  Building. 

No.  104.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Registration  Room,  where  histories  are  taken  and  all  records 
kept. 

^   No.  105.    Manhattan    Tuberculosis    Clinic.    Photograph: 
ti'uberculosis  files  in  Registration  Room. 


No.  106.    Manhattan    Tuberculosis    Clinic. 

Women's  Waiting  Room. 
( 

(    No.  107.    Manhattan    Tuberculosis    Clinic. 
Men's  Waiting  Room. 

No.  108.    Manhattan    Tuberculosis    Clinic. 
Men 's  and  Women 's  Waiting  Room. 


Photograph : 
Photograph : 
Photograph : 


No.  109.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Wall  sign  in  Men's  Waiting  Room  giving  instructions  in  four 
languages  regarding  coughing  and  spitting. 

No.  110.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Throat  Room. 

No.  111.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Throat  Room. 

No.  112.  Manhattan  Tuberculosis  Clinic.  Photograph: 
X-Ray  Room. 

No.  113.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Examining  patient's  lungs  with  fluoroscope. 


31 


No.  114.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: J.  F.  Tuberculosis  of  both  lungs,  partial  consolida- 
tion and  infiltration  of  right  lung,  infiltration  of  left  lung. 

No.  115.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: T.  M.  Tuberculosis  of  both  lungs — infiltration  more 
pronounced  on  right  side. 

No.  116.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: J.  J.  S.  Normal  chest,  except  for  slight  infiltration 
around  the  root  of  left  lung. 

No.  117.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph :     S.  W.     Calcified  deposit  on  left  side. 

No.  118.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: M.  L.  Tuberculosis  of  both  lungs,  disseminated  infil- 
tration mostly  on  right  side. 

No.  119.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: J.  O'M.  Tuberculosis  of  right  lung,  disseminated  in- 
filtration, with  a  few  calcified  deposits  on  left  side. 

No.  120.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: T.  W.  Tuberculosis  of  left  lung — ^very  slight  infil- 
tration of  apex. 

No.  121.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph :     T.  A.     Normal  lung. 

No.  122.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: M,  H.  Tuberculosis  of  both  lungs,  infiltration  more 
marked  on  right  side. 

No.  123.  Manhattan  Tuberculosis  Clinic.  X-Ray  photo- 
graph: E.  S.  Tuberculosis  of  both  lungs — marked  infiltration 
of  both  lungs. 

No.  124.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Drug  Room. 

No.  125.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Examining  Room. 

No.  126.  Manhattan  Tuberculosis  Clinic.  Photograph: 
Men's  Examining  Room. 


32 


No.  127.    Manhattan    Tuberculosis    Clinic. 
Women's  Examining  Room. 


Photograph ; 


No.  128.    Manhattan    Tuberculosis    Clinic.    Photograph: 
Performing  Calmette  test. 

No.  129.     Manhattan    Tuberculosis    Clinic.     Photograph: 
Examining  eyes  for  Cahnette  reaction. 

No.  130.    Manhattan  Tuberculosis    Clinic.    Photograph: 

Drug   laboratory,    where  all    medicines    for    the    Tuberculosis 

Clinics  and  Hospitals  of  the  Department  of  Health  are  pre- 
pared. 

No.  131.     Photograph:     Freeman  Branch  of  the  New  York 
Diet  Kitchen  Association. 


No.  132.     Brooklyn 
Exterior  of  Building. 

No.  133.     Brooklyn 
Waiting  Room. 

No.  134.    Brooklyn 
Waiting  Room. 

No.  135.    Brooklyn 
Registration  Room. 

I    No.  136.    Brooklyn 
Registration  Room. 

No.  137,    Brooklyn 
Registration  Room. 

No.  138.    Brooklyn 
Examination  Room. 

No.  139.     Brooklyn 
f  Weighing  Room, 

No.  140.     Brooklyn 
Examination  Room. 

No.  141.     Brooklyn 
I  Throat  Room. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Tuberculosis     Clinic. 


Photograph : 
Photograph : 
Photograph : 
Photograph : 
Photograph : 
Photograph : 
Photograph : 
Photograph : 
Photograph : 
Photograph : 


33 


No.  142.  Brooklyn  Tuberculosis  Clinic.  Photograph: 
Hallway  on  main  floor. 

No.  143.  Bronx  Tuberculosis  Clinic.  Photograph:  Ex- 
terior of  Building. 

No.  144.  Bronx  Tuberculosis  Clinic.  Photograph:  Wait- 
ing Room. 

No.  145.  Bronx  Tuberculosis  Clinic.  Photograph:  Ex- 
amination Eoom. 

No.  146.  Bronx  Tuberculosis  Clinic.  Photograph:  Throat 
Room. 

No.  147.  Tuberculosis  Clinics.  Registration:  (a)  Daily 
journal  for  recording  all  important  data  regarding  new  and  old 
cases  visiting  clinics  (218  L).  (&)  Admission  card  used  by  pa- 
tient (7  L)  ;  (c)  envelope  for  admission  card  (92  L)  ;  (d)  pri- 
mary history  blank  (67  L) ;  (e)  envelope  for  same. 

No.  148.  Tuberculosis  Clinics.  Registration:  (a)  Thrott, 
nose  and  ear  history  blank  (99  L).  (h)  Urine,  blood,  sputum 
and  x-ray  history  blank  (212  L). 

No.  149.  Tuberculosis  Clinics.  Registration:  (a)  Dia- 
gram card  (211  L).  (&)  Weekly  record  card  (68  L).  (c) 
Nurse's  card  giving  home  conditions,  circumstances,  and  sur- 
roundings, together  with  the  clinical  course  of  case  (53  L),         * 

No.  150.     Tuberculosis  Clinics.     Registration:      (a)  Chil- 
dren 's  clinic  record  card  used  for  recording  results  of  examina- 
tion of  school  children   (248  L).     (&)  Alphabetical  name  and  i 
address  index  card  (242  L). 

No.  151,     Tuberculosis  Clinics.    Registration:    (a)  Letter 
to  physician  or  person  referring  case  of  Tuberculosis  to  clinic 
for  examination   (79  L).     (6)  Card  requesting  patient  to  call! 
at  Tuberculosis  Clinic,  Department  of  Health,  for  examination] 
for  admission  to  hospital  (217  L).     (c)   Card  for  recording  re-j 
suit  of  examination  of  applicants  for  admission  to  the  New 
York  State  Hospital  for  the  treatment  of  Incipient  Tuberculosis 
at  Ray  Brook  (207  L).     (d)  Weekly  report  of  work  of  Tubercu-j 

34 


losis  Clinics  (156  L).  (e)  Card  for  patients  returning  for  Cal- 
mette  test,  Kadiograph,  etc.  (5  L).  (/)  Pocket  sputum  flask 
issued  to  patients,  (g)  Gauze  handkerchiefs  furnished  pa- 
tients,    (h)   Aseptic  drinking  cup  used  in  Clinics. 

No.  152.  Tuberculosis  Clinics.  Registration:  Tabulation 
sheet  used  for  preparing  statistics  regarding  cases  of  Tubercu- 
losis treated  at  the  Tuberculosis  Clinics  (see  No.  97)  (253  L). 

No.  153.  Tuberculosis  Clinics.  Registration:  (a)  Requi- 
sition on  New  York  Diet  Kitchen  Association  for  milk  and  eggs 
furnished  patients  of  the  Department  of  Health's  Tuberculosis 
Clinics  (182  L),  (&)  Requisition  on  Brooklyn  Bureau  of  Chari- 
ties (189  L). 

No.  154.  Tuberculosis  Clinics  :  ' '  Circular  of  Advice  to  Pa- 
tients."   English  (172  L). 

No.  155.  Tuberculosis  Clinics  :  ' '  Circular  of  Advice  to  Pa- 
tients."    German  (139  L). 

No.  156.  Tuberculosis  Clinics  :  "  Circular  of  Advice  to  Pa- 
tients."    Italian  (155  L). 

No.  157.  Tuberculosis  Clinics  :  ' '  Circular  of  Advice  to  Pa- 
tients."   Yiddish  (147  L)). 

No.  158.  Tuberculosis  Clinics:  Circular  of  Information 
regarding  Clinics  for  the  Treatment  of  Communicable  Diseases 

(60  L). 

No.  159.  Tuberculosis  Clinics:  Drug  Formulary  of  the 
Tuberculosis  Climes  of  the  Department  of  Health  (258  L). 

No.  160.  Association  op  Tuberculosis  Clinics:  Map  of 
Clinics  in  the  Borough  of  Manhattan. 

No.  161.  Association  OF  Tuberculosis  Clinics  :  (a)  Week- 
ly report  of  the  Department  of  Health  Clinic  to  Association  of 
Tuberculosis  Clinics.  (&)  Pamphlet  descriptive  of  the  Asso- 
ciation of  Tuberculosis  Clinics,  by  J.  S.  Miller,  M.  D.,  President 
of  the  Association,  (c)  Rules  of  the  Association  of  Tuberculo- 
sis Clinics. 


35 


No.  162.  Association  of  Tuberculosis  Clinics:  Diagram 
of  plan  of  co-operation  in  Tuberculosis  work  through  the  Asso- 
ciation of  Tuberculosis  Clinics. 

No.  163.  Association  of  Tuberculosis  Clinics  :  (a)  Postal 
card  report  requesting  the  Department  of  Health  not  to  visit 
cases  (157  L).  (&)  Postal  card  report  to  the  Department  of 
Health  of  cases  discontinuing  or  resuming  treatment  (264  L). 
(c)  Double  reference  card  used  for  transferring  patients  from 
one  Clinic  to  another  (48  L).  (d)  Monthly  report  of  members 
of  the  Association  of  Tuberculosis  Clinics  to  the  Department 
of  Health  (8  L). 


36 


SECTION   IV 

COLLECTION   AND    EXAMINATION    OF    SPECI- 
MENS OF  SPUTUM   BY  THE  DIAGNOSIS 
LABORATORY  OF  THE  DEPART- 
MENT  OF  HEALTH 

No.  164.  Diagnosis  Laboratory.  Circular  descriptive  of 
the  work  and  the  products  of  the  Diagnosis  and  other  Labora- 
tories of  the  Department  of  Health  (105  L). 

No.  165.  Diagnosis  Laboratory.  Booklet  descriptive  of  the 
work  of  the  Diagnosis  Laboratory  and  giving  a  list  of  Culture 
stations  (206  L). 

No.  166.  Diagnosis  Laboratory.  Circular  calling  attention 
to  the  importance  of  bacteriological  examination  of  the  sputum 
in  the  early  diagnosis  of  Pulmonary  Tuberculosis  (75  L). 

No.  167.  Diagnosis  Laboratory.  Photograph :  Map  of  Cul- 
ture Stations  in  the  Boroughs  of  Manhattan  and  The  Bronx. 

No.  168.  Diagnosis  Laboratory.  Photograph:  Collecting 
specimens  of  sputum  from  a  drug  store  acting  as  a  station  of 
the  Department  of  Health. 

No.  169.  Diagnosis  Laboratory.  Photograph :  White  enamel 
cabinet  in  drug  store  acting  as  a  station  of  the  Department  of 
Health.     Open. 

No.  170.  Diagnosis  Laboratory.  Photograph :  White  enamel 
cabinet  in  drug  store  acting  as  a  station  of  the  Department  of 
Health.     Closed. 

No.  171.  Diagnosis  Laboratory,  Photograph :  Supply  box 
furnished  by  the  Department  of  Health  to  smaller  drug  stores. 

No.  172.  Diagnosis  Laboratory.  Photograph:  Preparation 
of  specimens  of  sputum  for  examination. 

37 


No.  173.  Diagnosis  Laboratory.  Photograph:  Staining: 
outfit  used  in  preparation  of  specimens  of  sputum  for  exami- 
nation. 

No.  174.  Diagnosis  Laboratory.  Photograph :  Eeeord  and 
Report  Room. 

No.  175.  Diagnosis  Laboratory.  Photograph :  Cabinet  for 
storage  of  Tuberculosis  smears. 

No.  176.  Diagnosis  Laboratory.  Photograph:  Microscopi- 
cal examination  of  specimens  of  sputum  for  tubercle  bacilli. 

No.  177.  Diagnosis  Laboratory.  Photograph:  Wash  and 
Sterilizing  Room. 

No.  178.  Diagnosis  Laboratory.  Photograph:  Sterilizing 
apparatus  in  wash  room. 

No.  179.  Diagnosis  Laboratory.  Photograph:  Supply 
Room. 

No.  180.  Diagnosis  Laboratory:  Chart  showing  the  num- 
ber of  specimens  of  sputum  examined  during  1906,  1907  and 
1908,  together  with  the  number  of  specimens  showing  tubercle 
bacilli. 

No.  181.  Diagnosis  Laboratory:  (a)  Sputum  slip  for- 
warded with  sputum  jar  (38  L).  (&)  Envelope  for  filing  same 
(138  L).  (c)  Sputum  jar  for  collecting  specimen  of  sputum. 
(d)  Manifold  book  for  forwarding  duplicate  slips  with  speci- 
mens of  sputum  from  Department  Clinics  and  Hospitals  (261  L). 

No.  182.  Diagnosis  Laboratory:  (a)  Blank  for  reporting 
presence  of  tubercle  bacilli  in  a  specimen  of  sputum  (97  L).  (&) 
Blank  for  reporting  failure  to  find  tubercle  bacilli  in  specimen 
of  sputum  (39  L).  (c)  Blank  requesting  name  and  address  of 
the  patient  from  whom  the  specimen  was  taken  (45  L).  (d) 
Blank  requesting  the  name  and  address  of  attending  physician 
(247  L) .  (e)  Card  notifying  physician  that  specimen  of  sputum 
forwarded  by  him  was  leaky  and  could  not  be  examined  (173  L). 

No.  183.  Diagnosis  Laboratory:  Weekly  journal  for  re- 
cording results  of  examinations  of  pathological  specimens  for- 
warded from  all  Boroughs  (22  LL). 


38 


No.  184.  Diagnosis  Laboratory  :  (a)  Weekly  report  of  the 
Assistant  Director  of  the  Diagnosis  Laboratory  (192  L).  (&) 
Daily  summary,  according  to  Boroughs,  of  sputum  examinations 
made  in  the  Diagnosis  Laboratory  (233  L). 

No.  185.  Culture  Stations  :  (a)  Card — druggist 's  card  for 
supplies  for  culture  stations  (148  L).  (6)  Postal — notice  to 
druggist  that  culture  station  supplies  have  been  forwarded 
(145  L).  (c)  Card — nurse's  report  of  inspection  of  culture 
station  (199  L). 


.'39 


I 


SECTION  V 

RIVERSIDE  HOSPITAL  FOR  ADVANCED  CASES 
OF   PULMONARY  TUBERCULOSIS 

No,  186.     Riverside     Hospital.     "Water-color     painting     of 
North  Brother  Island  and  Riverside  Hospital. 

No.  187.     Riverside  Hospit.\l.     Photograph :     View  of  North 
Brother  Island,  East  River,  New  York. 

No.  188.     Riverside  Hospital.     Photograph :     View  of  North 
Brother  Island,  East  River,  New  York,  from  boat. 

No.  189.     Riverside  Hospital.     Photograph :    View  of  North 
Brother  Island,  East  River,  New  York,  from  boat. 

No,  190.     Riverside  Hospital.     Photograph :    View  of  North 
Brother  Island,  East  River,  New  York,  from  boat. 

No,  191.     Riverside  Hospital.     Photograph :     View  of  North 
Brother  Island,  East  River,  New  York,  from  boat. 

No.  192,     Riverside  Hospital,     Photograph :     View  of  North 
Brother  Island,  East  River,  New  York,  from  lighthouse. 

No.  193.     Riverside  Hospital.     Photograph :     View  of  North 
Brother  Island,  East  River,  New  York,  from  lighthouse. 

No.  194.     Riverside  Hospital.     Photograph :    View  of  North 
Brother  Island,  East  River,  New  York,  from  lighthouse. 

No.  195.     Riverside  Hospital.     Photograph:     Patient  being 
removed  from  Department  Hospital  Boat  **  Franklin  Edson." 

No.  196.    Riverside  Hospital.     Photograph:      Tuberculosis 
Wards.     Exterior. 

No.  197.     Riverside  Hospital.      Photograph:       Tuberculosis 
Wards.     Exterior. 

41 


No.  198.    Riverside  Hospital. 
Wards.     Interior. 


Photograph :       Tuberculosis 


No.  199.     EivERSiDE  Hospital.  Photograph:  Tennis  Grounds. 

Photograph :       Tuberculosis 


No.  200.    Riverside  Hospital 
Patients  on  Grounds. 

No.  201.     Riverside  Hospital.     Photograph: 
bereulosis  Patients. 

No.  202.    Riverside  Hospital.     Photograph: 
plan  of  the  Department  Hospital  Boat. 

No.  203.    Riverside  Hospital.       Photograph 
sketch  of  proposed  Tuberculosis  Pavilion. 

No.  204.     Riverside  Hospital.     Photograph: 
bereulosis  Pavilion,  ground  floor. 

No.  205.    Riverside  Hospital. 
bereulosis  Pavilion,  first  floor. 


No.  206.    Riverside  Hospital. 
bereulosis  Pavilion,  second  floor. 


Photograph 
Photograph 


Group  of  Tu- 
Copy  of  deck 
Architect 's 
Proposed  Tu- 
Proposed  Tu- 
Proposed  Tu- 


No.  207.  Riverside  Hospital:  (a)  Primary  history  card 
(7  L)  ;  (&)  later  history  card  (68  L)  ;  (c)  clinical  examination 
card  showing  result  of  examination  of  sputum,  urine  and  blood 
(212  L). 

No.  208.  Riverside  Hospital:  (a)  Temperature  chart 
(210  L)  ;  (&)  admission  card  furnished  patient  by  Division  of 
Communicable  Diseases  (32  L) ;  (c)  card  of  information  regard- 
ing visiting  hours  printed  in  English,  German,  Italian  and  Yid- 
dish (31  L). 

No.  209.  Riverside  Hospital:  (a)  Daily  report  of  admis- 
sions, discharges  and  deaths  (209  L)  ;  (&)  weekly  report  of  Tu- 
berculosis patients  in  the  hospital  (208  L). 

No.  210.  Riverside  Hospital.  Photograph:  Waiting  list 
for  Riverside  Hospital  showing  the  allotments  according  to 
Boroughs. 


42 


SECTION    VI 


OTISVILLE  SANATORIUM  for  the  TREATMENT 
OF    INCIPIENT    AND     EARLY    FAVOR- 
ABLE CASES  OF   PULMONARY 
TUBERCULOSIS 

No.  211.  Otisville  Sanatorium.  Large  water-color  painting. 
No.  212.  Otisville  Sanatorium.  Photograph:  Panorama. 
Otisville  Sanatorium.    Photograph:     Peach  Or- 


No.  213 
chard. 


No.  214. 
Pine  Trees. 


Otisville   Sanatorium.     Photograph:       Grove  of 

Photograph :       General 
Photograph :      Adminis- 


No.  215.     Otisville   Sanatorium. 
view  of  building. 

No.  216.     Otisville  Sanatorium. 
tration  Building  and  employees. 

No.  217.     Otisville  Sanatorium.     Photograph:    Dew  Drop 
Inn. 

No.  218.     Otisville  Sanatorium.    Photograph:    Single  shack 
for  patients. 

No.  219.    Otisville  Sanatorium.  Photograph:  Double  shack 
for  patients. 

No.  220.     Otisville  Sanatorium.    Photograph :    Dining-room 
building. 


No.  221.     Otisville  Sanatorium. 
by  patients. 


Photograph:      Tent  used 


No.  222.     Otisville  Sanatorium.    Photograph 
Kitchen  and  Dining-room  building. 


Interior  of 


43 


No.  223.     Otisville  Sanatorium.    Photograph:      Washroom 
in  single  shack. 

No.  224,     Otisville  Sanatorium.    Photograph :    Dairy  barn. 

No.  225.     Otisville  Sanatorium.    Photograph:    Dairy  bam 
and  cows. 

No.  226.     Otisville  Sanatorium.      Photograph:      Cows   in 
yard  at  dairy  bam. 

No.  227.     Otisville  Sanatorium.    Photograph:     Architect's 
plans ;  first  floor  plans  of  two-story  shacks. 

No.  228.     Otisville  Sanatorium.     Photograph:     Architect's 
plans  of  south  elevation  of  two-story  shacks. 

No.  229.     Otisvili.e  Sanatorium.     Photograph:    Patients  on 
arrival  at  Sanatorium,  Otisville,  N.  Y. 

No.  230.    Otisville  Sanatorium.     Photograph:       Examina- 
tion of  patients  on  arrival,  Otisville,  N.  Y. 

No.  231.     Otisville  Sanatorium.      Photograph:      Patients, 
nurses  and  staff,  Otisville,  N.  Y. 

No.  232.     Otisville  Sanatorium.     Photograph:     Group    of 
nurses,  Otisville,  N.  Y. 

No.  233.     Otisville  Sanatorium.     Photograph:    Patients  in 
dining-room. 

No.  234.     Otisville  Sanatorium.     Photograph:    Patients  in 
dining-room. 

No.  235.     Otisville  Sanatorium.     Photograph:    Patients  on 
couches  in  double  shacks. 

No.  236.     Otisville  Sanatorium.     Photograph:    Patients  in 
bed  in  shack. 

No.  237.     Otisville    Sanatorium.       Photograph:       Patient 
ready  for  discharge  as  an  "arrested"  case. 

No.  238.     Otisville     Sanatorium:       (a)  Primary     history 
card  (67  L)  ;   (&)  later  history  card  (68  L) ;  (c)     clinical  ex- 

44 


amination  card  showing  the  results  of  examination  of  sputum, 
urine  and  blood  (212  L). 

No.  239.  Otisville  Sanatorium:  (a)  Temperature,  pulse 
and  respiration  record  card  (210  L) ;  (&)  card  of  instruction 
furnished  patients  on  admission  to  Sanatorium  (227  L). 

No.  240.  Otisville  Sanatorium:  (a)  Daily  report  of  ad- 
missions, discharges,  deaths  (209  L).  (&)  Weekly  report  of 
condition  of  Tuberculosis  patients  in  the  hospital  (208  L). 

No.  241.  Photograph:  Plan  of  proposed  Tuberculosis  San- 
atorium and  camp. 


45 


DUE  DATE 


^Ljim  APR  7— 


MR 


141992 


i.l  iV!^    APH  ^7»^S^ 


A^^    6  1998 


APR  2  7  1998^ 


JOM 


t^ 


g|C^ 


Printed 
in  USA 


